Organization
OMNI INTERVENTIONAL PAIN MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE LAM M.D. (MEMBER)
(917) 443-4719
Entity
Organization
Contact information
Practice address
13620 38TH AVE, SUITE 8A, FLUSHING, NY 11354-4233
(917) 443-4719
Mailing address
13620 38TH AVE, SUITE 8A, FLUSHING, NY 11354-4233
(917) 443-4719
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
250243
NY
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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